著者
猪狩 賢蔵 鈴木 信也 関 博志 野村 嘉奈子 外園 弥生 吉田 蘭子 阪上 貴子 伊藤 智一 荒瀬 透 林 誠一
出版者
一般社団法人日本医療薬学会
雑誌
医療薬学 (ISSN:1346342X)
巻号頁・発行日
vol.47, no.4, pp.179-184, 2021-04-10 (Released:2022-04-10)
参考文献数
11

Postoperative nausea and vomiting (PONV) are common and unpleasant postoperative complications. Although guidelines recommend preventative measures according to PONV risk, anesthesiologists do not always follow the guidelines. In this study, we investigated whether the pharmacists’ proposal of a PONV prevention method to anesthesiologists in accordance with the guidelines affected the decision-making of anesthesiologists and subsequent PONV development. Two hundred and five patients who underwent gynecological surgery at Keiyu Hospital were included in this study, and the number of preventative measures selected by an anesthesiologist and frequency of PONV complications before and after the pharmacists’ intervention were determined. After the intervention, the number of preventative measures implemented by the anesthesiologist increased in the PONV moderate- and high-risk groups (P < 0.01) and incidence of PONV in patients decreased [odds ratio 0.362 (95% confidence interval 0.174 - 0.726) (P < 0.01)]. It is the intention of anesthesiologists for pharmacists to evaluate PONV risk and propose preventative measures that comply with guidelines to anesthesiologists. The results of this study show that the proposal of pharmacists on PONV prophylaxis affects anesthesiologists’ decision-making and is effective in preventing PONV.

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なるほど、、、輪郭手術(両顎含む)等の全身麻酔後の吐き気(ponv)は100%では無いけど予防は出来る!といった論文を発見した❣️ こちらは安心材料だ....全身麻酔後の吐き気、嘔吐は本当に嫌だから執刀医に事前に伝えるべきだね。 https://t.co/QgNXOpCmYz

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